CMS Price Transparency Data

X-ray, pelvis

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $244
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.28x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at University of Texas M. D. Anderson Cancer Center is $244. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.28x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$244

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Insurance Median: $244 (228%)

Ins. Median: $244 (228% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 228% of the Medicare baseline (a markup of 128%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Texaschildrens	$6 - $153	6%
Tricare	$7 - $261	7%
UnitedHealthcare	$7 - $261	7%
Vacare	$7 - $174	7%
Medicare (plans)	$10 - $153	9%
Blue Cross Blue Shield	$13 - $251	12%
Aetna	$15 - $261	14%
Cigna	$17 - $261	16%
Humana	$54 - $268	51%
Ontarioministriesofhealth	$67 - $258	63%
Beijingst.Lucia	$68 - $261	64%
Embassyofqatar	$68 - $261	64%
Memorialhermannhealth	$68 - $261	64%
Emergingtherapysolutions_Cancercare	$72 - $278	67%
Interlink_Cancercare	$72 - $278	67%
Saudiarmedforces	$72 - $278	67%
Uae_Medical	$72 - $278	67%
Uaepoliceattache	$72 - $278	67%
Healthsmart	$76 - $296	71%
Vantage	$76 - $296	71%
Multiplan	$78 - $299	73%
Phcs	$78 - $299	73%
Emergingtherapysolutions	$261 - $278	244%
Interlink	$261 - $296	244%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Texas M. D. Anderson Cancer Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72170.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.